The Fannie E. Taylor Home for the Aged - Taylor Manor, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

AL7201 Issued in FL

Legal business name

THE FANNIE E. TAYLOR HOME FOR THE AGED - TAYLOR MANOR, INC.

Doing business as

Taylor Manor

Practice address

6605 Chester Ave
Jacksonville, FL 32217-2252

Phone

(904) 636-0313

Fax

(904) 367-0021

NPI assigned

Feb 2, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mathew Sherburne

Title

V.P. Finance & Administration

Phone

(904) 636-0313

Specialties & licenses 2

Addresses

Other names 1

• Taylor Manor Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1659419497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CHESTER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172252",
            "telephone_number": "904-636-0313",
            "fax_number": "904-367-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 CHESTER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172252",
            "telephone_number": "904-636-0313",
            "fax_number": "904-367-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FANNIE E. TAYLOR HOME FOR THE AGED - TAYLOR MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHERBURNE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "V.P. FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "904-636-0313"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7201",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "AL7201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Custodial Care Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Custodial Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.